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Organization
STATE UNIVERSITY OF IOWA
Active
Organization
STATE UNIVERSITY OF IOWA
Active
Other names
Marengo Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY PROTEXTOR (EXECUTIVE DIRECTOR)
(319) 337-7642
Entity
Organization
Contact information
Practice address
255 W LUCAS ST, MARENGO, IA 52301-1331
(319) 642-5213
Mailing address
2941 SIERRA CT SW, IOWA CITY, IA 52240-8503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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